2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 5 staff files. Reese C did not have documentation of the Trails clearance letter. Correction: Immediately, Trails abuse and neglect inquiry results must be maintained and available upon request. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff Reese C has reviewed the powerpoint within 24 hours. Submit documentation of the Trails clearance letter for Reece C with a written statement of compliance by 6/7/25. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: background checks. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 staff files. Emily O did not have documentation of the FBI clearance letter. Correction: Immediately, criminal records results must be maintained and available upon request. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Emily O has reviewed the powerpoint within 24 hours. Submit documentation of the FBI clearance letter and a written statement of compliance by 6/7/25. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: background checks. Marked corrected in the state record.

2.508.E · Within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training . This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once (1 time) and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 5 staff files. Emily O did not have documentation of a 1 hour child development training. Correction: Obtain documentation of 1 hr child development training for all staff within 90 days of employment. Submit documentation and a written statement of compliance by 6/7/25. Correct by 06/07/2025

Corrected Corrected by Jun 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.F.1 · Within thirty (30) calendar days of employment all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 5 staff files. Emily O did not have documentation of First Aid & CPR certification or the Intro to first aid and CPR. Correction: Obtain documentation of First Aid & CPR certification or the Intro to first aid and CPR module within 30 days of employment for all staff. Submit documentation and a written statement of compliance by 6/7/25. Correct by 06/07/2025

Corrected Corrected by Jun 7, 2025

Marked corrected in the state record.

2.531.B · Each staff member's personnel file must contain all required information within thirty (30) working days of the first day of employment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 staff files. Emily O did not have documentation of a complete staff file. Correction: Obtain all required staff record information for employees within 30 days of employment. Submit a written plan and statement of compliance by 6/7/25. Correct by 06/07/2025

Corrected Corrected by Jun 7, 2025

Marked corrected in the state record.

2.511.B.1 · Admission procedures must be completed prior to the child's first day in care at the center and must include: Completion of the registration information for inclusion in the child’s record, as required in rule section 2.525; and

Reviewed 4 child files. 1 child did not have a record on file. Correction: Immediately, complete admission and registration procedures prior to the first day of care for each child. Submit a written statement of compliance by 7/26/24. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: ratio. Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

The program did not have documentation of a current fire inspection. Correction: Immediately, obtain an approving fire inspection completed within the last 2 years. Submit documentation and a written statement of compliance by 7/26/24 Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. Marked corrected in the state record.

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 1 staff file. Natalie R did not have documentation of a current standard precautions training. Correction: Immediately, complete a Department approved standard precautions training and ensure that the training is

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.507.K · All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 1 file. Natalie R did not have documentation of a current immunization training. Correction: Complete the Department approved Childcare and Preschool Immunization training and ensure the training is updated annually. Submit documentation and a written statement of compliance by 7/26/24. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. Marked corrected in the state record.

2.507.M · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 1 staff file. Natalie R did not have documentation of a 1 hour child development training. Correction: Complete a Department approved 1 hour child development training. Submit documentation and a written statement of compliance by 7/26/24. Correct by 07/26/2024

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.A.1.a · At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: A complete health history for each child, including any communicable diseases; chronic illnesses or injuries; known drug reactions and allergies; current medications; any special diets needed; and the name address and phone number for the child’s health care provider and dentist.

Reviewed 4 child files. 1 child did not have documentation of a complete health history. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, obtain a complete health history for each child. Submit a written statement of compliance by 7/26/24. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. Marked corrected in the state record.

2.512.A.1.b · At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment Certificate of Immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 4 child files. 1 child did not have documentation of immunization status. Correction: Immediately, obtain documentation of school-required immunizations prior to or on the first day of admission for each child. Submit a written statement of compliance by 7/26/24. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There was an emergency medication, first aid cooling packs and shaving cream labeled "keep out of reach of children" accessible to children in the common space. Correction: Corrected at the time of inspection. The emergency medication, shaving cream and cooling packs were placed in a room that is inaccessible to children by the Site Director. A written response is not required. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

Category: health medication. Marked corrected in the state record.

7.701.52.B.1.d · . Within twenty four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty four (24) hours of a child's return to the facility the licensee must report in writing to The Office of Early Childhood, Division of Early Care And Learning the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement, or a county department of human or social services agency, or the child abuse reporting hotline as described in Section 19-3-304, C.R.S. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The county initiated an investigation at the facility on 7/20/23. The facility did not notify licensing in writing of the investigation until 8/8/23. Correction: Facility must report county investigations and all critical incidents to licensing in writing within 24 hours. Submit a plan for future compliance with written response to specialist. Correct by 08/29/2023 Stage II Licensing Concern : SM1 did not demonstrate knowledgeable decision making when allowing children to drag each other across the floor of the gym using a rope. - FOUNDED

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.

7.712.41.A · . All personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through staff statement SM1 allowed children to drag one another across the gym floor using a rope as a game they had been allowed to play. Correction: All staff must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Submit a plan of action for future compliance with written response to specialist. Correct by 08/29/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

One bottle of hand sanitizer labeled "keep out of reach of children" was on a table accessible to children posing a potential safety concern. Correction: Immediately make all hazardous items inaccessible to children. **Corrected at time of inspection - hand sanitizer was moved to an area inaccessible to children. No response is required.** Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Category: physical safety. Marked corrected in the state record.